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Individual

MR. JAKE WILLIAM FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 432-5852
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary

Other

Enumeration date
03/10/2008
Last updated
03/10/2008
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